Trainees spend four days per week in the EP/Pace laboratories performing a variety of procedures that include complex ablation, atrial fibrillation, ventricular tachycardia, and ventricular fibrillation, and advanced device procedures including resynchronization therapy, lead extraction, and ablation and devices in patients with congenital heart disease. A half day continuity clinic may be combined with extra time in EP procedures or outpatient device troubleshooting, or research.
During the clinical electrophysiology training year, you will spend 10 months in the EP lab and 2 months in the Pace lab, as well as 1/2 half day per week in the outpatient Heart Rhythm Continuity Clinic.
Clinical conferences, seminars, small group discussions, journal clubs and one-on-one instruction are integral parts of this fellowship.
During the clinical training year, time is available for one afternoon per week to complete research projects and undertake smaller projects including case reports. Our fellows typically publish two to three peer reviewed publications during their clinical year and complete prior research projects. We encourage individuals without significant electrophysiology experience in their Cardiology fellowship to participate in a comprehensive program that involves research and extended clinical training for two to three years.
An optional funded year of research training is possible where translational animal laboratory or basis clinical electrophysiology experience is possible.
Clinical Electrophysiology fellows serve as 2nd call (with cardiology fellows being first call) for the service for one week out of four. Timely evaluations are done by the general cardiology fellow on call and supervised directly by the consultant. The clinical cardiac EP fellow covers post-procedure patients including those that they would have done procedures on personally and the device troubleshooting and programming services on weeknights or the week they are on 2nd call. In addition, the clinical cardiac EP fellow covers a primary call for the hospital service one Saturday per month.
Extensive teaching opportunities are available including leading the discussion at conferences and teaching the junior cardiology fellows and residents, as well as allied staff.
You will have many resources including a grand rounds/core curriculum conference on Monday mornings, device tracings review on Tuesday mornings, Journal Club and weekly Thursday morning tracing (both EP and device) review.
To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of the program training. You will be evaluated formally by your supervising faculty members quarterly and will meet with the program director to review these evaluations. This is accomplished through an electronic process (Integrated Scheduling and Evaluation System, ISES) available through any Mayo Clinic workstation or via remote access.
ISES is linked to the six core competencies identified by the Accreditation Council for Graduate Medical Education:
- Patient care
- Medical knowledge
- Interpersonal and communication skills
- Practice-based learning and improvement
- Systems-based practice
Completed faculty evaluations are reviewed by the program director who assigns a pass-fail grade based on the scores and comments by the faculty members. Upon approval of the evaluation by the program director, the evaluation immediately becomes available electronically to you in the ISES system. You will also have an opportunity to complete an evaluation of faculty following each quarter, as well an evaluation of the program on an annual basis